Cascadia Behavorial Healthcare – Garlington Center – Portland, Oregon

Last Updated: January 7, 2025

Dr Daniel Hochman Authored by Daniel Hochman, MD
David Levin Reviewed by David Levin
0 sources cited

Cascadia Behavorial Healthcare – Garlington Center – Portland, Oregon in Portland Overview

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Treatment Options

The facility offers multiple levels of care, such as:

  • Mentoring/peer support
  • Housing services
  • Discharge Planning
  • Employment counseling or training
  • Self-help groups
  • Naloxone and overdose education
  • Recovery coach

The center treats the following addictions and co-occurring disorders:

  • Methamphetamines detoxification
  • Opioids detoxification
  • Medication routinely used during detoxification
  • Children/adolescents with serious emotional disturbance (SED)
  • Clients who have experienced trauma
  • Clients with co-occurring mental and substance use disorders
  • Veterans
  • Criminal justice (other than DUI/DWI)/Forensic clients
  • Clients with HIV or AIDS
  • Clients who have experienced sexual abuse
  • Clients who have experienced intimate partner violence, domestic violence
  • Clients with co-occurring pain and substance use disorders
  • Comprehensive mental health assessment
  • Comprehensive substance use assessment
  • Screening for tobacco use
  • Interim services for clients
  • Outreach to persons in the community
  • Screening for mental disorders
  • Screening for substance use
  • Complete medical history/physical exam

Treatment Modalities

Recovery models grounded in 12-step programs prominently incorporate peer coaching, strongly emphasizing personal growth as the pathway to enduring sobriety. Regular participation in 12-step meetings, known for their anonymity, cost-free access, and daily availability, is encouraged. The 12 steps of recovery, anchored in spiritual principles, guide participants in unraveling the core issues of their addiction, taking accountability for their decisions, and coming to terms with aspects beyond their control. Chosen by the individuals themselves, sponsors offer personalized one-on-one mentorship, aiding in navigating through the recovery journey.

Group Counseling is a therapeutic approach where individuals come together under the guidance of a trained counselor to share experiences, provide mutual support, and gain insights. It fosters a sense of community, promotes understanding through diverse perspectives, and offers personal growth and problem-solving strategies.

Individual Psychotherapy is a personalized therapeutic approach aimed at aiding individuals in overcoming addiction and its underlying psychological triggers. A licensed therapist works closely with the individual through one-on-one sessions to unearth and address personal challenges, emotional issues, and behavioral patterns contributing to their substance abuse. Individual psychotherapy lays a robust foundation for a sustainable recovery and a better quality of life by fostering self-awareness, coping strategies, and healthier behavioral responses.

Family Counseling is a therapeutic approach that seeks to address and resolve conflicts, improve communication, and strengthen relationships within the family unit. By providing a safe space for family members to express their feelings and concerns, a trained counselor facilitates understanding and collaboration among members, promoting healthier dynamics and enhancing overall family well-being.

Whether a marriage or other committed relationship, an intimate partnership is one of the most important aspects of a person’s life. Drug and alcohol addiction affects both members of a couple in deep and meaningful ways, as does rehab and recovery. Couples therapy and other couples-focused treatment programs are significant parts of exploring triggers of addiction, as well as learning how to build healthy patterns to support ongoing sobriety.

Dialectical Behavior Therapy (DBT) is a cognitive-behavioral approach specifically designed to help individuals regulate emotions, enhance interpersonal effectiveness, develop distress tolerance, and increase mindfulness. In addiction treatment, DBT equips individuals with practical skills to manage triggers, cope with stressors, and build a life worth living without resorting to substance use. By addressing both the emotional and behavioral challenges of addiction, DBT fosters personal growth and long-term recovery.

Rational Behavior Therapy (RBT) is a cognitive-behavioral approach to psychotherapy that emphasizes identifying and modifying irrational beliefs and thought patterns that lead to emotional and behavioral disturbances. Developed by Maxie Maultsby Jr., RBT draws inspiration from Albert Ellis’s Rational Emotive Behavior Therapy (REBT). It provides clients with tools to challenge and replace these irrational beliefs with more adaptive and realistic thoughts, leading to improved emotional well-being and more effective behavior. The therapy integrates cognitive restructuring, emotional regulation, and behavioral interventions to promote overall mental health.

Trauma therapy delves into past traumatic events that might be influencing a client’s current life experiences. Often, trauma serves as a significant precipitant or underlying cause of addiction. Such traumas can arise from childhood sexual abuse, domestic violence, growing up with a mentally ill parent, early parental loss, and experiences of sexual assault in teen or adult years, among other circumstances. Trauma therapy aims to aid the individual in processing and navigating beyond these traumas, guided by the expertise and empathy of skilled mental health specialists.

Cognitive Behavioral Therapy (CBT) is a form of psychotherapy that emphasizes the critical role of thinking in how we feel and what we do. It aims to identify and challenge distorted or negative thought patterns and behaviors, teaching individuals to replace them with more constructive and rational beliefs. CBT is evidence-based and has been shown to be effective in treating a variety of psychological disorders, including depression, anxiety, and phobias, among others.

Telehealth Therapy is a remote care option that allows individuals to access mental health services via digital technology, such as secure video conferencing. This mode enables patients to engage with therapists from their homes, offering flexibility and overcoming geographical limitations. Ideal for those in rural areas, with mobility issues, or tight schedules, Telehealth Therapy ensures quality mental health support is always within reach.

Substance use disorder counseling treatment modalities refer to various approaches and methods used in the counseling and treatment of individuals with substance use problems. This can include individual therapy, group therapy, cognitive behavioral therapy, motivational interviewing, family therapy, and 12-step programs. The goal is to help the individual overcome their substance use, develop healthy coping skills, and lead a fulfilling life in recovery.

Tobacco cessation counseling is a dialogue with a counselor about your tobacco or vaping habits, examining its place in your daily life to strategize quitting. It offers interventions for individuals keen on quitting, encompassing behavioral guidance and group or one-on-one counseling. These sessions can range from short encounters (under 5 minutes) to in-depth discussions (over 10 minutes) and might require multiple meetings.

Gambling Disorder, also known as compulsive gambling, is a recognized behavioral addiction characterized by an uncontrollable urge to gamble despite detrimental personal and financial consequences. Treatment for this disorder typically involves a combination of therapeutic approaches. These include cognitive-behavioral therapy to address underlying triggers and patterns of thought, group support sessions such as Gamblers Anonymous, and sometimes medications to address co-existing mental health conditions like depression or anxiety.

Intervention Services are professional services aimed at addressing and amending harmful behaviors or situations, primarily in individuals struggling with addiction or other serious issues. These services guide and support both individuals and their loved ones through the intervention process, wherein a structured, solution-oriented conversation is held to encourage the individual to accept help and make positive changes towards recovery. By blending compassionate understanding with a well-formulated approach, intervention services play a crucial role in bridging the gap between acknowledgment of an issue and taking the initial steps towards resolution.

Motivational Interviewing (MI) is a client-centered therapeutic approach that fosters behavioral change by assisting individuals in exploring and resolving ambivalence. Specifically tailored for addiction treatment, MI helps clients unearth their own motivations to quit substance use and empowers them to take the lead in their recovery journey. Therapists guide clients toward their goals and self-determined pathways to sobriety through empathetic conversation and skillful questioning.

The Relapse Prevention Model plays a pivotal role in the treatment of alcoholism. Utilizing a blend of Cognitive Behavioral Therapy (CBT), this model is particularly valuable for individuals who have experienced multiple relapses. Through this approach, those in recovery are equipped with essential coping skills, empowered for their journey, and guided in adopting healthier habits.

Conditions Treated

Mental health treatment

Mental health treatment involves various therapies and support services provided by licensed professionals to address mental health issues. These interventions, which can include therapy, medication, and holistic approaches, aim to enhance well-being, improve coping, and empower individuals to lead fulfilling lives. It’s personalized, comprehensive care for mental health challenges.

Alcoholism

Alcohol addiction is a condition where someone feels a strong and uncontrollable urge to drink alcohol, often leading to negative effects on their health, relationships, and daily life. To assist individuals grappling with alcohol addiction, various strategies exist. Initially, supervised detoxification may be necessary to ensure a safe cessation of alcohol consumption. Following this, counseling and therapy play a crucial role in addressing the psychological facets of the addiction. Engaging in support groups can also offer a sense of camaraderie and comprehension.

Opioid Addiction

Opioid rehabilitation centers are dedicated to assisting individuals on the path to recovery from opioid addiction. They provide specialized care for those struggling with addiction to substances like heroin and prescription opioids such as oxycodone. These facilities offer a comprehensive approach, including medical detoxification, ongoing medical assistance (including medication-based treatment), and therapeutic support to address the root causes of addiction.

Substance use treatment

Substance use rehabilitation embodies a holistic treatment approach crafted to assist individuals contending with drug or alcohol addiction. This all-encompassing rehabilitation strategy encompasses two crucial components: initially addressing the physical dependency, frequently commencing with detoxification, and subsequently confronting the psychological triggers through a diverse array of therapeutic methods. The overarching objective is to empower individuals to achieve and maintain sobriety while equipping them with essential skills and coping mechanisms for a successful reintegration into society and a life free from substance abuse.

Co-occurring Disorders

Dual-diagnosis rehabilitation centers specialize in the treatment of individuals who suffer from a co-occurring mental health disorder and a substance use disorder. This complex interplay between addiction and mental health can make recovery more challenging, as each condition may exacerbate the symptoms of the other. Dual-diagnosis rehabilitation centers offer an integrated approach that addresses both issues simultaneously and often includes a comprehensive assessment for an Integrated Treatment Approach through Holistic Therapies, including family therapy and aftercare treatment.

Levels Of Care

Intensive outpatient treatment

Intensive Outpatient (IOP) is a specialized level of care aimed at assisting those on their recovery journey from addictions or mental health disorders. Unlike the inpatient or residential treatments where attendees reside within the facility, IOP offers a robust therapeutic experience while enabling participants to stay home and continue their daily routines. Generally, individuals in IOP engage in several sessions weekly, clocking in at around 9-20 hours or even more. These sessions encompass individual counseling, group sessions, familial guidance, and instructional classes that equip attendees with the tools and methods to manage symptoms and avert relapses.

Detoxification

Detoxification (detox) is the process of clearing the body of drugs or alcohol that an individual has consumed. The purpose of detox is to safely manage withdrawal symptoms when someone stops taking drugs or alcohol. It denotes a clearing of toxins from the body of the patient who is acutely intoxicated and/or dependent on substances of abuse. Detoxification seeks to minimize the physical harm caused by the abuse of substances.

Aftercare

Aftercare treatment refers to the continued support and care that individuals receive following the completion of their primary treatment program for substance abuse or addiction. This phase aims to aid individuals in maintaining their sobriety, improving personal skills and coping strategies, and integrating back into society. Aftercare can include ongoing therapy, support group meetings, education, and monitoring, which are crucial for preventing relapse and promoting long-term recovery. Through a combination of community support, accountability, and personal development, aftercare provides a structured pathway for individuals to continue their recovery journey in a supportive environment.

Outpatient

Outpatient programs are designed for individuals in stable medical condition with a low risk of relapse, often those who’ve completed inpatient treatment. These programs extend the foundation of prior treatment approaches, offering continuous addiction guidance and resources for sustained recovery. For those transitioning straight from detox, medical and psychological assessments are typically conducted, leading to the development of individualized treatment strategies. The majority of outpatient rehab centers provide diverse care levels, customized to each client’s unique requirements.

Outpatient detoxification

Ambulatory Detoxification, also known as outpatient detox, is a treatment approach for individuals seeking to overcome substance dependencies, such as drugs or alcohol. Under this model, patients receive medically supervised detoxification services from experienced healthcare professionals, frequently in environments such as clinics, healthcare facilities, or even the comfort of their own homes. This approach is often characterized by greater flexibility and cost-efficiency when contrasted with inpatient detoxification programs.

Outpatient methadone/buprenorphine or naltrexone treatment

Methadone maintenance treatment (MMT) is a comprehensive treatment program for individuals with opioid use disorder. It involves the long-term prescribing of methadone, a synthetic opioid, to patients in an effort to reduce or eliminate their use of illicit opioids, such as heroin. When provided at an appropriate dose and in conjunction with counseling and other support services, MMT can help to stabilize patients’ lives, reduce illicit drug use, and lower the risks of drug-related harm, such as overdose and transmission of infectious diseases.

Regular outpatient treatment

Regular outpatient treatment is a structured program that supports individuals in overcoming addiction while allowing them to maintain their daily lives. It includes therapy, counseling, and education, making it ideal for those with mild to moderate substance use disorders or in later recovery stages. This approach helps individuals build coping skills, manage triggers, and stay substance-free while staying connected to their communities and families.

Payment Options

  • Access to Recovery (ATR) Voucher
  • Medicaid
  • Private health insurance
  • Cash or self-payment
  • State-financed health insurance plan other than Medicaid
  • Payment assistance (check with facility for details)
  • Sliding fee scale (fee is based on income and other factors)
  • Medicare
  • Federal, or any government funding for substance use treatment programs

License and Accreditation

  • SAMHSA certification for opioid treatment program (OTP)
  • State department of health
  • State mental health department
  • Federally Qualified Health Center
  • Drug Enforcement Agency (DEA)

Ancillary Services

  • Case management service
  • Integrated primary care services
  • Suicide prevention services
  • Specially designed program for DUI/DWI clients
  • Acupuncture
  • Child care for client’s children
  • Mental health services
  • Social skills development
  • Transportation assistance

Published on: January 6th, 2025

Updated on: January 7th, 2025

Disclaimer

A treatment center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the memberโ€™s contract at time of service. Your health insurance company will only pay for services that it determines to be โ€œreasonable and necessary.โ€ The treatment center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.


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